Primary Health Care of Ashtabula, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PRIMARY HEALTH CARE OF ASHTABULA, INC

Practice address

5266 State Route 45
Rome, OH 44085-9404

Phone

(440) 563-5028

Fax

(440) 563-3044

NPI assigned

Jun 19, 2006

Last updated

Oct 15, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bruce Peters

Title

President

Phone

(440) 563-5028

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Primary Health Care of Ashtabula Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Primary Healthcare of Ashtabula

  • Clinic/Center
  • Rome, OH
  • NPI 1710042734
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1962447227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 STATE ROUTE 45",
            "city": "ROME",
            "state": "OH",
            "postal_code": "440859404",
            "telephone_number": "440-563-5028",
            "fax_number": "440-563-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 STATE ROUTE 45",
            "city": "ROME",
            "state": "OH",
            "postal_code": "440859404",
            "telephone_number": "440-563-5028",
            "fax_number": "440-563-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH CARE OF ASHTABULA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-563-5028"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2218906",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bianca N Haislah
• Mysterie Hill, LPN
• Vida Lynn Martin
• Tonya McClure
• Angel Popadak
• Primary Health Network (Ashtabula Community Health Center)
• Primary Healthcare of Ashtabula
• Theodore W Robinson
• Margaret A Sartor, PT
• Carol Ann Schultz

• Rural Health Clinic/Center in Rome, OH
• Providers in Rome, OH by specialty
• Rural Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.